Individual
MR. BRANDON M HEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5991 S 3500 W, SUITE 300, ROY, UT 84067
(801) 985-2700
(801) 985-2707
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4553570-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245211572
—
UT
Enumeration date
11/14/2005
Last updated
02/26/2008
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